HomeMy WebLinkAboutBuilding 99-0705
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DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
~-891}
Permit No.
qq-76~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
/"73&' ()J I[L00 t..-/l-N ~
1. DATE
l2- i ~D
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
LOT
12. NO. OF STORIES
ADDITION
4. OWNER
G
w\L-'--O~ S
~me) /?
I()#. {;:;11",u...t\/D
(Name)
BLOCK 4
~1~ AVI'>
PID 1S-L1B,oZ-7#u
13. TYPE OF CONSTRUCTION
(Address)
ItJ7~!' W(U_IIJ W.
(Tel. No.)
'-Nd-98?
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
(Address)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
,-,
6. BUILDER
(Name)
(Address)
~
I t'J11.'L
G',l!-u..,.J 'P
7. TYPE OF WORK Fireplace 0
New Construction 0 ,I1Ut~ations 0
Chimney 0 Misc. aLra..c
8. PROPERTY AREA OR ACRES
Sq. Ft.
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
I hereby certify that I have fumished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned property and that all co ction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official can revoke this I>ermit for j se. Furthe 'rore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~ S-27-p,
License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
USE OF BUILDING
~s ,q/,e.
,
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION I OJ OW. (!:)n PLOT PLAN 0
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F H I @:Y S U
Division 1 2 3 4 1'\
Permit Fee ................................... $ lto ol. .~ S-
Plan Check Fee ............................. $~ 0 LI ~
State Surcharge ............................. $ S. 00
Penalty....................................... $
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap.... ................. ...... ........ $
Plumbing Permit Fee ....................... $
1')
,~~~\
~.1,0
\J;
$
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This
By
Receipt No.
Certificate of Occupancy
Issued
Date
By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. T document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City Planner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850
9C/-70b
The Ctnter of the Like Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
7011 G,~UND
fo/Q/'21
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~7gB (/V/L-~OW LrANG
Accepted
Accepted With Corrections Y
Denied ~k
Reviewed By: . ~
Comments:
Date: ~-I (,- ~ r
./
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
The Center or the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted /
Accepted With Corrections
Denied
()1Jf}Y1-O/1 , Date:
* c;v!htZcJeo ~ ~j//rfL,()
Iffr Lt[ qCJ
~~~ -dIe
Reviewed By:
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
99." 705
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Penn it Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address /67~c8 tu/G tdl#J ~d'1 ~~.R M~ /nA.J.
/
Lot Area /4t1t'3.S Sq. Feet x 30% =....um..... ~2.~/./
************************************************************************
HOUSE!! ~,KA6&
LENGTH WIDTH
/U4"&UUL x
x
=
SQ. FEET
/7.3.3 .1)
=
ATIACHED GARAGE
(?~()Fb.s~ p
29.S x /7 "" 5~/.S
TOTAL PRINCIPLE STRUCTURE......_..............
2- Z. 34 . S
DETACHED BLDGS
(Garage/Shed)
x
x
TOT AL DETACHED BUILDINGS.......................
DrovEWAY~AVEDAREAS
(Driveway-paved or not)
(SidewalkIParking Areas)
I' X 39.S =
.t%P()~b X /RRd6ubfe
,C~.57/Q& X /..ee&6~UI.e.=
63 Z.O
. 344.~
9tt>.o
TOT AL PAVED AREAS.........................................
/()~ (. . 0
P A TIOSIPORCHESIDECKS X =
(Open Decks '14M min. opening berween X =
boards, with a pervious surface below,
arc not considered to be impervious)
X =
TOTAL DECKS...._..........-........._....._....._...._...........
---
OTHER
x =
" X =
TOT AL OTlmR...._......,,_._._-_._...........~......_......
-
Company
I 33()() .S
r fjt)()./.
Date t4/9?
,
TOTALI~ERVIOUSSURFACE
UNDERle y ~it.
Prepared By
/-<.X:. Phone # biZ -890 -6(5#
16788 WILLOW LANE
CERTIFICATE OF SURVEY CJr;'705
For: TOM GRUND
PROPERTY DESCRIPTION: Lot 6, Block 4, WILLOW SIXTH
ADDITION, Scott County, Minnesota.
We hereby certify that this is a true and correct survey of the above
descrilted property and that it was performed by me or under my
direct :.supervision and that I am a duly Licensed Surveyor under the
laws of the State of Minnesota. That this survey does not purport to
show all improvements, easements or encroachments, to the property
except as shown thereon.
Notes:
1. Building dimensions shown are for
horizontal &. vertical placement of structure
only. See architectural plans for building
&. foundation dimensions.
2. No specific soils investigation has been
completed on this lot by James R. Hill, Inc.
The suitability of soils to support the specific
house proposed is not the responsibility of
James R. Hill, Inc. or the surveyor.
3. No specific title search for existence or non-
existence of recorded or un-recorded easements
has been conducted by the surveyor as a part
of this survey. Only easements per the recorded
plat are shown.
Signed this
8th
June
day of
JAMES R. HILL, INC.
. 0JfZddJ i () '7 James ~~ Hill, Inc.,
By: ~
Harold C. Peterson, Minnesota L.S. No. 12294
Il::.
o
.
x927.6
(930.0)
..
Denotes set spike
Denotes set iron monument
Denotes found iron monument
Denotes existing elevation
Denotes proposed elevation
Denotes proposed drainage
Denotes chain-link fence
)(
)(
Bearings are on assumed datum
Scale: 1'-30'
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> -00
G) :;lJ C ('")
P1 (.Q~~>
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....... ....... ('").......... "
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f\) '-...J
James R. Hill, Inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. Cn. RD. 42, Sum: 120, BURNsmE. MN 55337
PHONE 612/890-6044 FAX 612/890-6244
:;lJ en 0
I'T1 :;lJ
~":::JO-l>
~,~c-~
o col'T1CJ
Bico ~
N
16788 WILLOW LANE
CERTIFICATE OF SURVEY
Fo~ TOM GRUND
I r\T
LVI
r-
....
--'
121.31 S 85056'16" E
36
I
10 r / --
I / / 8" TREE
I/O
I VI-
t:<
I g~
,..... :::J15
2 I i; 0
I ~~ 5u MAPLE
~<
I ';, W CO CRETE ~ 0
" co GAR. cD
r N N
r- 22.4
./ 10 CONCRETE
. PIIg>osm 0/\ J '
10 L I!::: lMR. ,..,:1.... PROPOSED
- _ _ L_ 29.5 "'I~ DRIVEWAY
o ----- ~-- ~ I 10
.... 10.88~" 10.8;~-"'1 ---.J
, ~ I
,
l.J.J
-_ II')
-n-- ,
iXi/ l10
LOT 6 ~:
..
..
o
..0
"
43.4
I~
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--'
z 3:
0
0 --'
0 --l
0 ~
~
~
EXISTING
HOUSE
133.30 S 85056'16" E
I r\T
LVI
-7
/
If
APPROVED
PLANNING OEPT
. (]~ k r;t"IAOT AREA = 14003.49 SQ. FT.
Signed "1" ate
~
c
~
"":'.I
~
~
~
~
Scale: 1"=30.
Page 2 of 2
James R. Hill, Inc.
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -LllrSA ~)('\\ow L~~
NATURE OF WORK Gror-r_'}17 ~_
USE OF BUILDING crq -los-
PERMIT NO. c)l' -lo~ DATE ISSUED (o-{~ - 7 i
CONTRACTOR hHl"'-J..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) {;; e8
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ I I
FINALS
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspectibns
FOR ALL INSPECTIONS (612) 447-9850